班次安排和昼夜偏好:与睡眠和情绪的关联
Jihye Ahn1, Hyewon Yeo1, Somi Lee2
1Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University College of Medicine, Seoul, Republic of Korea.
Frontiers in public health
|May 14, 2024
概括
轮班工人 (SWs) 比非轮班工人晚上更晚,特别是那些有不规则时间表的人. 这种夜晚性与非轮班工人的嗜睡有关,而不是轮班工人的嗜睡.
科学领域:
- 时间生物学 时间生物学
- 职业健康 职业健康 职业健康
- 睡眠医学 睡眠医学
背景情况:
- 轮班工作很普遍,并与各种健康问题有关.
- 了解轮班工人的昼夜偏好对于减轻负面健康结果至关重要.
- 以前的研究还没有完全阐明昼夜类型和轮班工作时间表之间的关系.
研究的目的:
- 调查不同类型的轮班工人 (SW) 和非轮班工人 (非SW) 的昼夜偏好 (早上-晚上).
- 检查这些群体中昼夜偏好与睡眠参数 (嗜睡,失眠) 和情绪 (抑郁) 之间的关联.
- 为了比较不同轮班工作时间表 (轮换,固定晚上,固定晚上,不规则) 的昼夜偏好.
主要方法:
- 对4,561名SW和2,093名非SW进行了一项大型在线调查.
- 参与者填写了经过验证的问卷:早上和晚上的问卷 (MEQ),流行病学研究中心-抑郁症量表 (CES-D),失眠严重程度指数 (ISI) 和爱普沃思睡眠度量表 (ESS).
- 进行了统计分析,以比较MEQ分数并评估与睡眠和情绪的关联,控制人口统计和职业因素.
主要成果:
- 与非轮班工人相比,轮班工人 (SWs) 的晚上活动 (MEQ分数较低) 显著增加,即使在对共变量进行控制后.
- 不规则的SW表现出比常规SW更多的晚上性,在常规SW中,固定的晚上/夜间SW比旋转SW更有晚上性.
- 在非SW中,循环夜间与增加的嗜睡 (更高的ESS得分) 相关,但在SW中没有这种关联.
结论:
- 轮班工作,特别是不规则的时间表和固定的晚上/夜间轮班,与夜间偏好转向夜间的转变有关.
- 昼夜偏好和嗜睡之间的关系在轮班工人和非轮班工人之间有所不同.
- 这些发现凸显了需要量身定制的干预措施来管理轮班工作者的昼夜不整以及相关的睡眠和情绪障碍.
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